The American Journal of Medicine
Volume 122, Issue 10 , Pages 904-906 , October 2009

Office Management of Deep Venous Thrombosis in the Elderly

  • Laurie G. Jacobs, MD

      Affiliations

    • Division of Geriatrics, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY
    • Corresponding Author InformationRequests for reprints should be addressed to Laurie G. Jacobs, MD, Division Chief, Geriatrics, Montefiore Medical Center, 111 East 210 Street, Bronx, NY 10467
    • ,
  • Henny H. Billett, MD

      Affiliations

    • Division of Hematology, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY

References 

  1. Spencer FA, Emery C, Lessard D, et al. The Worcester Venous Thromboembolism study (A population-based study of the clinical epidemiology of venous thromboembolism). J Gen Intern Med. 2006;21:722–727
  2. Conget F, Otero R, Jimenez R, et al. Short-term clinical outcome after acute symptomatic pulmonary embolism. Thromb Haemost. 2008;100:937–942
  3. Stein PD, Terrin ML, Hales CA, et al. Clinical, laboratory, roentgenographic and electrocardiographic findings in patients with acute pulmonary embolism and no pre-existing cardiac or pulmonary disease. Chest. 1991;100:598–603
  4. Wells PS, Anderson DR, Rodger M. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and D-dimer. Ann Intern Med. 2001;135:98–107
  5. Wells PS, Anderson DR, Rodger M, et al. Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003;349:1227–1235
  6. Palareti G, Cosme B, Legnani C. Diagnosis of deep venous thrombosis. Semin Thromb Hemost. 2006;32:659–672
  7. The PIOPED Investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED). JAMA. 1990;263:2753–2759
  8. Singla DA. Warfarin doses in the very elderly. Am J Health Syst Pharm. 2005;62:1062–1066
  9. Siguret V, Gouin I, Debray M, et al. Initiation of warfarin therapy in elderly medical inpatients: a safe and accurate regimen. Am J Med. 2004;118:137–142
  10. Kearon C, Kahn SR, Agnelli G, et al. American College of Chest Physicians Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians Evidence-based Clinical Practice Guidelines. (8th Edition) Chest. 2008;133(6 Suppl):454S–545S

 Funding: None.

 Conflict of Interest: None.

 Authorship: Both authors contributed to the research and writing of this article.

PII: S0002-9343(09)00495-1

doi: 10.1016/j.amjmed.2009.05.008

The American Journal of Medicine
Volume 122, Issue 10 , Pages 904-906 , October 2009

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